| NPI | 1508855685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 033574) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 158910) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2010-10-15 |